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In Motion Individual Application

Please complete all fields relevant to the story you wish to tell. Please reach out if you have questions about what is required. The application needs to be filled out completely in one sitting. To make the process as simple as possible, we recommend that you review the application form in its entirety either online or printed out. This will allow you to gather all necessary information and documents before getting started.

Please complete your personal information

BRIEFLY SUMMARIZE (150 WORDS OR LESS) THE STORY YOU WISH TO PUBLISH:

WHAT ARE YOU HOPING TO ACCOMPLISH WITH THE PUBLICATION OF YOUR STORY?

PLEASE DESCRIBE THE TARGET AUDIENCE FOR YOUR STORY.

If you answered “yes”, please provide links to previously published stories.

Links to Previously published stories

PERSONAL OR PROFESSIONAL PROFILE PAGES

VOLUNTEER ORGANIZATIONS, CLUBS, AFFILIATIONS, AWARDS OR RECOGNITION RELEVANT TO YOUR STORY

REFERENCES RELEVANT TO YOUR STORY

* No reference will be contacted before application acceptance

INDIVIDUALS WHO MAY CONTRIBUTE A QUOTE TO YOUR STORY

* No reference will be contacted before application acceptance

UPLOAD ADDITIONAL INFORMATION AND SUPPORT MATERIALS FOR YOUR STORY

Max file size 10MB.
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All  additional information and support materials in a single file, e.g., DOC, PDF  or ZIP.

Add your own Copy

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Your story, in interview format, as you wish to see it published.

Attestation

Thank you!

Your application has been received. A member from our team will be in touch within 48 hours.
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